I thank the Deputy for his clarification of the wording of this question, "To ask the Minister for Health the key measures taken to improve homelessness services and addiction services during 2025; her priorities for same in 2026; and if she will make a statement on the matter."
In 2025, €56m in funding was allocated to the HSE to provide targeted health and social care services for people who are homeless – this will increase in 2026, with at least an extra €3.53m being allocated to the HSE for homeless health services in the coming year.
As the Deputy is aware, people who are homelessness are likely to experience severe health inequalities. They experience a high prevalence of physical disease, mental illness, and substance use. There are also more likely to die prematurely. Homelessness undermines the effectiveness of health care services by creating additional barriers for people in accessing treatment in a timely and integrated manner. For all these reasons, increased provision of health services to people who are homeless is a priority for me and for the Dept of Health and a number of measures are ongoing in this regard.
The success of the integrated assertive case management teams (PACT teams) in Dublin, with almost 6,000 cases receiving case management since the inception of the service in September 2022, will be further built on in 2026. Funding has been approved for an expansion of the service in Dublin and establishment of the service outside of the Dublin area, thereby ensuring consistent and equitable access to integrated care and case management across the health regions.
In July 2025, the Dept of Health and the HSE agreed to further increase in the capacity of the Community Care and Treatment Facility at Usher’s Island from 51 to 63 beds. This brings to €8.5m the combined Dept of Health and HSE investment in the facility to-date and is the largest investment by the Dept in healthcare services for people who are homeless.
A key strategic priority of the National Drugs Strategy is to enhance access to, and delivery of, drugs services in the community. Demand for and access to services has increased during the period of the current national drugs strategy.
The Department of Health allocated over €176 million under the National Drug Strategy in 2024 for the provision of addiction services. As part of Budget 2026, I announced an additional €11 million in recurring funding for drugs and inclusion health services to progress priority measures. This includes €4 million for service enhancement measures and will address regional disparities in availability of drug and inclusion health services, with a strong focus on the provision of services in disadvantaged and rural areas.
Data published in the 2024 National Drug Treatment Reporting System (NDTRS) by the Health Research Board (HRB) shows that there was a record figure of 13,295 cases treated for problem drug use in 2024. This continues the upward trend in treatment cases and demonstrates the impact of the National Drugs Strategy in enhancing access to drug services, with an increase of 50% in cases since the strategy began in 2017.
The additional funding provide for drug and inclusion health services in Budget 2026 demonstrate my strong commitment as Minister to meeting the health needs of people who are homeless and those who use drugs or who use alcohol in a harmful way.